| Land Of Smiles P.a. | |
|
18503 Pines Blvd Ste 209 Pembroke Pines FL 33029-1405 | |
| (954) 436-0502 | |
| Not Available |
| Full Name | Land Of Smiles P.a. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 18503 Pines Blvd Ste 209, Pembroke Pines, Florida |
| Authorized Official Name and Position | Rene Luis Landa (PEDIATRIC DENTIST/OWNER) |
| Authorized Official Contact | 9544360502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Land Of Smiles P.a. 6505 Sw 20th Ct Plantation FL 33317-5147 Ph: (786) 488-3796 | Land Of Smiles P.a. 18503 Pines Blvd Ste 209 Pembroke Pines FL 33029-1405 Ph: (954) 436-0502 |
| NPI Number | 1790388155 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790388155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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